Individual
MR. DELOREAN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BEHAVIORAL HEALTH
Contact information
Practice address
4031 DAYTON AVE, MCHENRY, IL 60050
(815) 344-1230
Mailing address
4031 W DAYTON ST, MCHENRY, IL 60050-8377
(815) 344-1230
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9127
DSP
IL
Enumeration date
10/06/2017
Last updated
10/06/2017
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